{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MILDRED CRUZ","gend":1,"add":"3282 GREENLAKES DR APT 101","city":"VIRGINIA BEACH","state":"VA","zip":23452,"dob":"1968-08-07","age":"","mstatus":"","insh":"20050843*01","cliId":"","pno":"757\/426-9148","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23452,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS MEDICAL ASSOCIATES","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M79.7","M15.9","I10.","E03.9","E78.00","K21.9","M19.90","F32.9","E78.2","R73.03","E66.01","Z11.59","E55.9","Z68.39","N64.4","M62.830","Z68.38","F43.23","Z01.419","Z12.39","Z12.4","Z11.51","N95.1","Z11.3","R07.89","M15.0","Z82.49","Z88.8","E11.9","R73.01","I87.2","H11.32","I83.893"],"date":["2022-08-11","2022-08-11","2022-11-02","2022-02-14","2022-02-07","2022-02-07","2022-02-07","2022-02-07","2022-02-14","2022-02-07","2022-10-27","2022-02-07","2022-02-07","2022-02-07","2021-08-19","2021-08-19","2021-08-19","2020-07-23","2021-08-24","2021-08-24","2021-08-24","2021-08-24","2021-08-24","2021-08-24","2022-02-07","2022-02-07","2022-02-07","2022-02-07","2022-02-14","2021-04-06","2022-11-10","2022-11-02","2022-11-14"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}